VERMONT RARE PLANT FORM
rev. Nov.2013.
2011
Vermont Natural Heritage Inventory
EO# (if known):
Latin Name:
New:
Update:
Surveyor(s):
Mailing address (phone, email):
Report Date:
Survey Date(s):
Survey Site:
Town(s):
Directions to location(s) of plants:
Are plants in same location(s) as previously observed?
LANDOWNER(S) / CONTACT(S) (Name, Telephone, Address, Email—if not in a Site Summary Form)
BIOLOGY
Approximate #
ramets
(Stems originating separately from ground)
Population Area(s)
(e.g. 30x10ft; 1m2; 0.5 acre, 1ha)
genets
(Presumed genetic individuals, e.g. clumps, patches, stems)
Permission?
Phenology (% or #)
in leaf
in bud
in flower
immature fruit
mature fruit
dormant
Verbal synopsis of above biological data and evidence of reproduction (if not found, discuss search effort):
SURVEY SITE & HABITAT INFORMATION (if not provided in a Site Summary Form or previous form)
Survey site description:
Substrate:
Aspect:
Topographic position:
Slope:
Light:
Elevation (in feet): minimum
maximum
Moisture:
Associated plant species observed (immediate vicinity):
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IDENTIFICATION Characteristics used for plant ID.
Specimen collected?
Collection #:
Photos taken:
Collector (s):
Repository:
(A permit is required to collect Threatened & Endangered species)
CONSERVATION SUMMARY
Is the habitat likely to persist?
Explain any threats:
Conservation, management, and inventory needs:
Full extent of population known? Amount or percent of habitat searched:
Comments that do not fit in another field:
MAPPING (required if not provided in a Site Summary)
Attach a copy of Map or Aerial Image showing the rare plant location(s):
(Keep in mind that if an area occupied is longer or wider than 12.5 meters, we prefer to map a polygon or line)
AND/OR: Attach shapefile (must be NAD83 State Plane)
; GPS point printout
; or write out GPS coordinates below:
GPS Points:
Datum (required; NAD83 preferred):
Accuracy (if known): +/meters /feet
Optional: Sketches with rare plant location(s), direction & scale: 1) Cross-section of local topography; 2) Diagram of site with survey route
In Word 2007/2010, to unlock the form to draw a diagram or insert pictures or maps, click on the padlock in the “Review” or “Developer”
tab/ribbon, select “Restrict Formatting and Editing,” then click the “Stop Protection” button. When finished, click, “Yes, Start Enforcing
Protection,” and then click “OK.”
Please send completed forms to Bob Popp: Bob.Popp [at] state.vt.us / Vermont Natural Heritage Inventory,
Vermont Fish & Wildlife Department, 5 Perry St., Suite 40, Barre, VT 05641 / (802)-476-0127
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